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[糖原病患儿血糖含量连续监测系统的应用经验]

[The experience of applying system of continuous monitoring of content of glucose in children with glycogen disease].

作者信息

Kondrakhina I I, Surkov A N, Namazova-Baranova L S, Batyrova A S, Snovskaia M A, Kozhevnikov O V, Potapov A S

出版信息

Klin Lab Diagn. 2015 Jan;60(1):4-11.

Abstract

The sampling included 23 children with glycogen disease. All patients were examined using system of continuous monitoring of content of glucose applied during 72 hours. It was established that hypoglycemia was detected in 19 (82.6%) children. At that, in 7 (30.4%) children the level of glucose was below detected range (< 2.2 mmol/l). In patients ignoring proposed recommendations (lack of compliance) expression of hypoglycemia was reliably higher than in children being on a diet and following recommendations of physician. In primary patients as compared with secondary patients rate and duration of hypoglycemia in blood serum activity of aspartate aminotransferase also was reliably higher. Independently of all that, the more frequently hypoglycemia developed the more expressed hypoglycemia was. Therefore, continuous monitoring of content of glucose in intercellular fluid is an effective instrument for detecting degree of compensation of carbohydrate metabolism in patients with glycogen disease. The day continuous monitoring of level of glucose permits to provide the most complete picture of fluctuations of glycaemia during a day. The obtained data can be used as a basis for composing an optimal algorithm of diet therapy.

摘要

样本包括23名糖原病患儿。所有患者均使用连续72小时监测血糖含量的系统进行检查。结果发现,19名(82.6%)患儿出现低血糖。其中,7名(30.4%)患儿的血糖水平低于检测范围(<2.2 mmol/L)。在忽视建议(缺乏依从性)的患者中,低血糖的表现明显高于遵循饮食建议并听从医生建议的患儿。与继发性患者相比,原发性患者血清中天冬氨酸转氨酶活性的低血糖发生率和持续时间也明显更高。尽管如此,低血糖发生得越频繁,其表现就越明显。因此,连续监测细胞间液中的葡萄糖含量是检测糖原病患者碳水化合物代谢补偿程度的有效手段。对血糖水平进行全天连续监测有助于全面了解一天中血糖的波动情况。所获得的数据可作为制定最佳饮食治疗方案的依据。

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